临床儿科杂志 ›› 2024, Vol. 42 ›› Issue (3): 177-181.doi: 10.12372/jcp.2024.24e0003

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儿童大环内酯类耐药肺炎支原体肺炎诊疗理念与实践

殷勇, 陈健德   

  1. 上海交通大学医学院附属上海儿童医学中心呼吸科(上海 200127)
  • 收稿日期:2024-01-01 出版日期:2024-03-15 发布日期:2024-03-06

Diagnosis and treatment philosophy and practice of macrolide-resistant Mycoplasma pneumoniae pneumonia in children

YIN Yong, CHEN Jiande   

  1. Department of Respiratory Medicine, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China
  • Received:2024-01-01 Online:2024-03-15 Published:2024-03-06

摘要:

2023年7月以来我国乃至全球迎来了肺炎支原体肺炎的流行高峰,给儿童健康、家庭及社会均带来了沉重的负担。尽管大环内酯类抗菌药物为指南推荐的首选用药,本次流行的肺炎支原体肺炎住院患儿中,以大环内酯类耐药为主。这对传统的诊疗模式带来了巨大的挑战,特别是肺动脉栓塞病例的增多,需要临床医师思考并实践新的诊疗理念。

关键词: 肺炎支原体肺炎, 大环内酯类耐药, 肺动脉栓塞

Abstract:

Since July 2023, China and even the world have experienced a peak outbreak of Mycoplasma pneumoniae pneumonia, which has brought a heavy burden to children's health, families, and society. Although macrolide antibiotics are the first choice recommended by the guidelines, the majority of hospitalized children with Mycoplasma pneumoniae pneumonia in this epidemic are resistant to macrolides. This has brought great challenges to the traditional diagnosis and treatment model, especially the increasing number of pulmonary embolism cases, which requires clinicians to think about and practice new diagnosis and treatment concepts.

Key words: Mycoplasma pneumoniae pneumonia, macrolide-resistant, pulmonary embolism